Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PACIFIC CENTRAL COAST HEALTH CENTERS

NPI: 1457741837 · SAN LUIS OBISPO, CA 93401 · Community Health Clinic/Center · NPI assigned 01/23/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MERLO, BRANDON controls 20+ related entities in our dataset. Read more

$115K
Total Medicaid Paid
1,034
Total Claims
995
Beneficiaries
9
Codes Billed
2020-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialMERLO, BRANDON (CHIEF FINANCIAL OFFICER)
Parent OrganizationPACIFIC CENTRAL COAST HEALTH CENTERS
NPI Enumeration Date01/23/2015

Related Entities

Other providers sharing the same authorized official: MERLO, BRANDON

ProviderCityStateTotal Paid
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.15M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.02M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $2.00M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.68M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.58M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.43M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.29M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $1.02M
PACIFIC CENTRAL COAST HEALTH CENTERS SAN LUIS OBISPO CA $1.00M
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $557K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $337K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $282K
PACIFIC CENTRAL COAST HEALTH CENTERS PISMO BEACH CA $270K
PACIFIC CENTRAL COAST HEALTH CENTERS OXNARD CA $256K
PACIFIC CENTRAL COAST HEALTH CENTERS ARROYO GRANDE CA $190K
PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA $158K
PACIFIC CENTRAL COAST HEALTH CENTERS ARROYO GRANDE CA $146K
PACIFIC CENTRAL COAST HEALTH CENTERS LOMPOC CA $145K
PACIFIC CENTRAL COAST HEALTH CENTERS PISMO BEACH CA $138K
PACIFIC CENTRAL COAST HEALTH CENTERS SAN LUIS OBISPO CA $134K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 138 $15K
2021 358 $47K
2022 240 $28K
2023 284 $23K
2024 14 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 551 523 $49K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 196 191 $23K
95886 111 108 $19K
95910 70 68 $11K
99215 Prolong outpt/office vis 27 27 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 25 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 27 27 $2K
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $2K
97803 14 14 $755.18